| NPI | 1548776073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERND JAMES ROGGE President 302-736-1423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: DE G1-0000987) |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2017-12-20 |